1|Page
NRNP 6550 I-HUMAN CASE STUDY: ALLERGY
ASSESSMENT & ENVIRONMENTAL
EVALUATION – HIGH-RISK PREGNANCY &
IMMUNE SENSITIVITIES (GRADED A+)
## 1. Case Study Overview
**Patient Demographics:**
- Name: Sarah M.
- Age: 31 years
- Gestational Age: 26 weeks
- Parity: G2 P1 (one living child, age 3)
- Chief Complaint: *“I’ve had worsening runny nose, itchy eyes, and
occasional wheezing for the past 3 weeks. My last pregnancy wasn’t like
this.”*
**Relevant History:**
- Seasonal allergies (pollen, ragweed) since age 14.
- History of mild intermittent asthma – no exacerbations in past 2 years.
- No known drug allergies.
- Lives in a suburban home with two cats (indoor/outdoor), carpeted
bedrooms, and a basement with known prior water damage.
, 2|Page
---
## 2. Focused Assessment Findings
### Subjective (OLDCARTS format)
- **Onset:** 3 weeks ago, coinciding with spring pollen season and
home HVAC use.
- **Location:** Nasal passages, eyes, chest (tightness).
- **Duration:** Persistent daily symptoms, worse at night and early
morning.
- **Characteristics:** Clear rhinorrhea, sneezing paroxysms, bilateral
conjunctival itching, dry cough.
- **Aggravating factors:** Lying down in bedroom, vacuuming,
outdoor time.
- **Relieving factors:** Showering, leaving home for work (office
environment).
- **Treatments tried:** Over-the-counter diphenhydramine (25 mg at
bedtime) – helps with sneezing but causes drowsiness.
- **Severity:** 6/10; denies cyanosis, oxygen desaturation, or ER visits.
### Objective (Targeted Exam)
- **Vitals:** BP 118/72, HR 88, RR 18, O2 sat 98% on room air.
- **Nasal mucosa:** Pale, boggy turbinates with clear discharge.
NRNP 6550 I-HUMAN CASE STUDY: ALLERGY
ASSESSMENT & ENVIRONMENTAL
EVALUATION – HIGH-RISK PREGNANCY &
IMMUNE SENSITIVITIES (GRADED A+)
## 1. Case Study Overview
**Patient Demographics:**
- Name: Sarah M.
- Age: 31 years
- Gestational Age: 26 weeks
- Parity: G2 P1 (one living child, age 3)
- Chief Complaint: *“I’ve had worsening runny nose, itchy eyes, and
occasional wheezing for the past 3 weeks. My last pregnancy wasn’t like
this.”*
**Relevant History:**
- Seasonal allergies (pollen, ragweed) since age 14.
- History of mild intermittent asthma – no exacerbations in past 2 years.
- No known drug allergies.
- Lives in a suburban home with two cats (indoor/outdoor), carpeted
bedrooms, and a basement with known prior water damage.
, 2|Page
---
## 2. Focused Assessment Findings
### Subjective (OLDCARTS format)
- **Onset:** 3 weeks ago, coinciding with spring pollen season and
home HVAC use.
- **Location:** Nasal passages, eyes, chest (tightness).
- **Duration:** Persistent daily symptoms, worse at night and early
morning.
- **Characteristics:** Clear rhinorrhea, sneezing paroxysms, bilateral
conjunctival itching, dry cough.
- **Aggravating factors:** Lying down in bedroom, vacuuming,
outdoor time.
- **Relieving factors:** Showering, leaving home for work (office
environment).
- **Treatments tried:** Over-the-counter diphenhydramine (25 mg at
bedtime) – helps with sneezing but causes drowsiness.
- **Severity:** 6/10; denies cyanosis, oxygen desaturation, or ER visits.
### Objective (Targeted Exam)
- **Vitals:** BP 118/72, HR 88, RR 18, O2 sat 98% on room air.
- **Nasal mucosa:** Pale, boggy turbinates with clear discharge.
